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Anesthesia/Surgery/
Treatment Consent Form

Please fill out the treatment form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us.

Treatment Consent Form

Please note any fields with * are required.

In-Patient Questionnaire

Blood work is required before general anesthesia.
Initial
Please give details as to what is occurring - vomiting, diarrhea, itching, ear/skin infection, etc.
Please write N/A if your pet is not on any medications.
The hospital will not be responsible for any lost items
The doctor will call you after the procedure to discuss if the mass should be submitted for biopsy.
Initial
Initial
Initial
Initial
Initial

Authorization Consent/Decline Directive for Cardiopulmonary Resuscitation (CPR)

Initial
Initial
Initial
Initial